NCG200522_Corrected NOI page 3_20190301

NCG200000 N.O.I.
Stormwater Outfall No
Latitude (degrees/minutes/seconds) N
Longitude (degrees/minutes/seconds) W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds) N
Longitude (degrees/minutes/seconds) W
9) Does this facility:
a) Have an untreated wastewater discharge? 4 No ❑ Yes
b) Have a treated wastewater discharge? M No ❑ Yes
If yes, list the permit number.
c) Have a wastewater discharge from a recycle system? M No ❑ Yes
If yes, list the permit number.
d) Have a non -discharge permit? 1110 No ❑ Yes
If yes, list the permit number.
e) Discharge wastewater to a municipal wastewater collection system? M No ❑ Yes
If yes, list the municipality and permit number
vot f Note: Stormwater discharge permit NCG200000 does not authorize the discharge of any wastewater.
� If this site discharges wastewater, you must obtain the appropriate wastewater discharge
permit in addition to coverage for stormwater discharges under NCG200000.
10) Does this facility employ any best management practices for stormwater control?
❑ No a Yes (Show any structural BMP's on the site diagram.)
If yes, please briefly describe: Material management practices, concrete surfaces w/sweeping, roof structures, exposure minimization
spill control and cleanup plan. secondary containment collection pored with runoff capture
11) Does this facility have a Stormwater Pollution Prevention Plan?
R No ❑ Yes
If yes, when was it implemented? July 2018
12) Are vehicle/equipment maintenance activities occurring at this facility?
❑ No , Yes
13) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
M No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
IR No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
PI No ❑ Yes If yes, include information to demonstrate protection from flooding.
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SWU-235-012815 Last revised 01/28/15